Self-Love Ascension Waitlist
Welcome!  This short form will take 5 min or less to fill out and will help me see if we are aligned to work together.  You will also be the first to find out when I open enrollment again so make sure you leave a good email address below!
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Email *
Full Name *
Email *
What is your biggest struggle that is on the forefront of your mind right now? *
What have you tried to in the past to solve this problem? *
What area's of your life are being affected by this struggle? *
On a scale of 1-10 how committed are you to investing time and money into solving this problem? *
Not committed at all
Ideally, when would you want to start the Self-Love Ascension Coaching Program? *
Do you have any questions for me about the Self-Love Ascension Program?
A copy of your responses will be emailed to the address you provided.
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